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When the bi-directional Glenn is an unfavourable option: primary extracardiac inferior cavopulmonary connection as an alternative palliation

Published online by Cambridge University Press:  28 April 2015

Ali Dodge-Khatami ,
Avichal Aggarwal ,
Mary B. Taylor ,
Douglas Maposa  and
Jorge D. Salazar
Ali Dodge-Khatami*
Affiliation:
Division of Pediatric and Congenital Heart Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA
Avichal Aggarwal
Affiliation:
Division of Pediatric and Fetal Cardiology, University of Mississippi Medical Center, Jackson, Mississippi, USA
Mary B. Taylor
Affiliation:
Division of Pediatric and Fetal Cardiology, University of Mississippi Medical Center, Jackson, Mississippi, USA Division of Pediatric Critical Care, University of Mississippi Medical Center, Jackson, Mississippi, USA
Douglas Maposa
Affiliation:
Division of Pediatric Anesthesiology, The Children’s Heart Center, University of Mississippi Medical Center, Jackson, Mississippi, United States of America
Jorge D. Salazar
Affiliation:
Division of Pediatric and Congenital Heart Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA
*
Correspondence to: Dr A. Dodge-Khatami, MD, PhD, Chief, Division of Pediatric and Congenital Heart Surgery, Children’s Heart Center, Professor of Surgery, University of Mississippi Medical Center, 2500 North State Street, Room S345, Jackson, MS 39216, United States of America. Tel: +(601) 984 4693; Fax: +(601) 984 5872; E-mail: adodgekhatami@umc.edu
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Abstract

The superior cavopulmonary anastomosis – bi-directional Glenn – is the standard palliation for single ventricle physiology. When upper body systemic venous anatomic concerns such as superior caval vein stenosis, hypoplasia, or inadequate collateral tributaries are present, a Glenn may be precluded or have a high risk of poor outcome. A primary inferior cavopulmonary connection with an extracardiac conduit is an alternative palliation that provides a generous pathway for pulmonary blood flow, with the additional benefit of including hepatic venous return. We report a case of primary extracardiac inferior cavopulmonary connection in a patient unsuitable for Glenn, with successful post-operative outcome and early follow-up.

Keywords

CHDFontanGlenn
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Issue 7 , October 2016 , pp. 1247 - 1249
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Copyright
© Cambridge University Press 2015 

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References

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